Access Current Requirements Electronic (Preferred method) Prior Authorization Drug Forms Phone: 1 (877) 813-5595 a lower tier (preferred brand) on the Cigna Standard Prescription Drug List and Will need approval from Cigna before it can be covered ("prior authorization").The Cigna n ame, logos, and other Cigna marks are . *Preferred pharmacy with Extra plan only and standard pharmacy for other plans. startxref
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You are filling a prescription for a covered Part D drug and that type of drug is not often stocked at an accessible network retail or mail-order pharmacy. xref
98% of stand-alone Medicare Part D prescription drug plans (PDP) will have a preferred network. Walmart lost position and was a preferred pharmacy in only 11 of the 22 major preferred cost sharing networks. 5516 38
AcmeAlbertsonsBartell Drug***Big YBi-MartBrookshire BrothersBrookshires PharmacyCUB**Discount Drug Mart*Duane ReadeEvernorth Care GroupFamily Fare PharmacyFood CityGiant Discount DrugGiant Eagle*Giant PharmacyHannafordHEB*Hy-Vee PharmacyKinneyMedicap*Price ChopperRaleysSams ClubSav-on PharmacyShaws PharmacyOscoPublix***Rite AidSafeway*ShopRite*Stop & ShopTom Thumb*TopsUnited PharmacyVons*WalgreensWalmartWeis*Wegmans*Winn-Dixie. Medicare Part D Updates for Cigna Preferred Medicare, Cigna Achieve Medicare, and Cigna Alliance Medicare plans. 0000019093 00000 n
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CVS pharmacies will be preferred in the new SilverScript SmartRx plan and in one of the three Cigna plans. 10/01/2022. hkSH95E$,c-X2t`1NQsZ}'/2O4i&[QRL!UB&"tZ"c<2VSr'/U&:qfB;7f!#1VJ).x%8 Q=}OJmrJ"^.K.=}.o$iYayj^t/MgEwOz>8N]76/'&Eqi]~+Cfa
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Best for Lowest Premiums: Aetna. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. The Cigna name, logo, and other Cigna marks are owned by Cigna Intellectual Property, Inc. LINA and NYLGICNY are not affiliates of Cigna. 0000020444 00000 n
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1 Learn more about the plan benefits designed to meet your unique needs: xref
To view or print these files, you must download and install the free Adobe Acrobat Reader. 5516 0 obj
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Call 1 (800) 88CIGNA (882-4462). ^ This Oral specialty medication may be covered differently than other specialty medications. The following information can help you when shopping for plans or after enrollment to better understand the prescription drugs covered by our plans. Cigna will be removing 45 drugs covered under the pharmacy benefit from its Standard Prescription Drug Listbeginning in January 2022. EOILNX>Tnn~"eV,`Mego^OHunH226Q<$ATbHo'uhS#<0S gN8`Lveq@:QvB)~*u$ihycO{. AcmeAlbertsonsBartell Drug*Big-YBi-MartBrookshire BrothersBrookshires PharmacyCostcoCUB*Dillon PharmacyDiscount Drug MartDuane ReadeEvernorth Care GroupFamily Fare PharmacyFood CityFred MeyerFrysGiant EagleGiant PharmacyHannafordHappy HarrysHarris TeeterH-E-BHy-VeeInglesKing SoopersKinneyKrogerLiving Well-Gallatin (Cigna owned)MarcsMarianosMedicapMedicine ShoppeOscoPick N SavePrice ChopperRaleysRalphsRite AidRoundysSafewaySams ClubSav-on PharmacyShaws PharmacyShop RiteSmiths Food and DrugStop & ShopThe Pharmacy at LivingWellTom ThumbTopsUnited PharmacyVonsWalgreensWalmartWegmansWeisWinn Dixie, Acme Albertsons Bartell Drug Big Y Bi-Mart Brookshire Brothers Brookshires Pharmacy CUB Discount Drug Mart Duane Reade Evernorth Care Group Family Fare Pharmacy Food City Giant Discount Drug Giant Eagle Giant Pharmacy Hannaford HEB Hy-Vee Pharmacy Kinney Medicap Price Chopper Raleys Sams Club Sav-on Pharmacy Shaws Pharmacy Osco Publix Rite Aid Safeway ShopRite Stop & Shop Tom Thumb Tops United Pharmacy Vons Walgreens Walmart Weis Wegmans Winn-Dixie. UPRi_tizFS=/ LZWbL,."i0V*YY|vVCmK~>3cKy^~n48;s^~/atqv;n^~N bw|Mnp88Y|lVv6`y9HHf+J{~. This policy will not pay benefits for the following: (2) any expense which You are not legally obligated to pay; or services for which no charge is normally made in the absence of insurance; (3) any services that are not medically necessary as determined by Medicare; (4) any portion of any expense for which payment is made by Medicare or other government programs (except Medicaid); or for which payment would have been made by Medicare if You were enrolled in Parts A and B of Medicare; (5) any type of expense not a Medicare Eligible Expense except as provided previously in this policy; (6) any deductible, Coinsurance or Co-payment not covered by Medicare, unless such coverage is listed as a benefit in this policy; or. 0000006043 00000 n
I NT_22_101310_C i 2 2_D_20_NGA_20 T his directory is current as of November, 2022 . Sixteen plans are being offered in all 34 regions, for a total of 544 PDPs (=16*34). 0000002020 00000 n
When you choose to get your medications at one of these preferred retail pharmacies, youll often pay much less. Express Scripts Pharmacy is a trademark of Express Scripts Strategic Development, Inc. 0000081039 00000 n
Medicare Supplement policies contain exclusions, limitations, and terms under which the policies may be continued in force or discontinued. Four plans are operating in 33 regions, one plan is operating in 32 regions, and one plan is operating in 17 regions. You can also speak to a pharmacist by phone without any distractions or feeling rushed. 0000024882 00000 n
The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. All clinical products and services of the LivingWell Health Centers are either provided by or through clinicians contracted with HealthSpring Life & Health Insurance Company, Inc., HealthSpring of Florida, Inc., Bravo Health Mid-Atlantic, Inc., and Bravo Health Pennsylvania, Inc. or employees leased by HS Clinical Services, PC, Bravo Advanced Care Center, PC (PA), Bravo Advanced Care Center, PC (MD) and not by Cigna Corporation. Learn what you need to know about changes in prescription drug benefits for your Cigna Medicare patients. Great for $0 Copays . 0000022766 00000 n
V&=(|ejTF7 Cigna does not take responsibility for any medication decisions made by the doctor or pharmacist. 0000015568 00000 n
These resources can help you to be more informed about plan choice, as well as help identify medications that your plan commonly covers. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. This may be because there is no network pharmacy within driving distance that offers 24-hour service. :4MQs1/*O?S8kBR Pac$8,1@UJ. Your plan may cover additional medications; please refer to your enrollment materials for details. 0000004811 00000 n
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hb```b`` Bl@a fc,\6QamFps2005lc1vB~W'p0F2`pqTazk=S,U[sUtT0jv;. W hen this Provider Directory says "we," "us," or "our," it means Cigna or Cigna Medicare Advantage. 0000020612 00000 n
Save on copays with a preferred retail pharmacy or home delivery through Express Scripts Pharmacy. The Centers for Medicare and Medicaid Services (CMS) has developed measures and metrics to improve your patients quality of care, health outcomes and access to affordable health care. Health maintenance organizations (HMOs): 2,337 local plans, Preferred provider organizations (PPOs): 1,572 local plans and 41 regional plans, Private fee-for-service (PFFS) plans: 29 plans. a listing of the legal entities 0000006271 00000 n
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Cigna offers specialized plans that can help you if you have diabetes, asthma, or chronic obstructive pulmonary disease (COPD), while offering you more savings. 3 %PDF-1.4
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Cigna Medicare plans contract with major retail pharmacy chains, grocery store chains, independent pharmacies, and with Express Scripts Pharmacy for home delivery. References to standard benefit plan language and coverage determinations do not apply to those clients. We'll provide an outline of coverage to all persons at the time the application is presented. Cigna Health Care Provider Directory Find a Doctor, Dentist, or Facility Log in to myCigna Individuals and Families Medicare Employers and Brokers Health Care Providers About Us How are you Covered? 0000019797 00000 n
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Past month. Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. A Medicare Advantage plan from Cigna Medicare can help you combine all of your Medicare Part A and Part B health care benefits into one plan that promotes a team approach to your health. Benefits, formulary, pharmacy network, and/or copayments/coinsurance may change on January 1, 2022, and from time to time during the year. 0000018661 00000 n
Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. 0000004732 00000 n
You travel outside the plans service area and run out of or lose covered Part D drugs, or become ill and need a covered Part D drug and cannot get to a network pharmacy. Stay in the comfort of your home and have your prescriptions come to you. 0000064720 00000 n
Access our Part D Partnership Guide [PDF] to learn more. copay or coinsurance, and/or customers will pay pharmacy plan's preferred-brand copay, coinsurance and/or deductible. 0000019244 00000 n
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%%EOF
If you use a pharmacy that does not participate in your plans network, your prescription may not be covered, or reimbursement may be limited by your plans copayment, coinsurance or deductible requirements. We make it easy to submit the correct PA request for your patients. View our current Specialty Medication list [PDF], View our Vaccine Quick Reference Guide [PDF], Access our Part D Partnership Guide [PDF], Pathway to Enhance Compliance with Statin Use [PDF], Avoiding Antipsychotic Use in Older Patients with Dementia [PDF], Avoiding Use of Multiple Anticholinergic (ACH) Medications in Older Adults [PDF], Statin Use in Persons with Diabetes (SUPD) Flyer [PDF]. 10783 0 obj
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hbbd``b`Kv q Cigna reserves the right to make changes to this drug list without notice. The way to fill out the Pharmacy for Cagney form on the web: To start the document, utilize the Fill camp; Sign Online button or tick the preview image of the blank.. You are not able to get a covered Part D drug quickly within the service area. medication through Cigna Specialty Pharmacy Services for it to be covered. Health benefit plans vary, but in general to be eligible for coverage a drug must be approved by the Food and Drug Administration (FDA), prescribed by a health care professional, purchased from a licensed pharmacy and medically necessary. 0000017913 00000 n
This is a list of the most commonly prescribed preferred medications covered on the Cigna National Preferred 3-Tier Prescription Drug List as of July 1, 2021.1,2Medications are listed. Drug lists can change from year to year. The combined benefits of this policy and the benefits paid by Medicare may not exceed one-hundred percent (100%) of the Medicare Eligible Expenses incurred. 0000015794 00000 n
All insurance policies and group benefit plans contain exclusions and limitations. myCigna gives you one-stop access to your coverage, claims, ID cards, providers, and more. An Update on Cigna Medicare's 2023 Pharmacy Network Medicare October 17, 2022 Kroger and its affiliated pharmacies recently notified Cigna that they would not participate in Cigna's Medicare Advantage (MAPD) and Prescription Drug Plan (PDP) network, effective January 1, 2023. 0000039962 00000 n
The following is a breakdown of your monthly premium with Part B costs included. Medicare Supplement policies are underwritten by Cigna National Health Insurance Company, Cigna Health and Life Insurance Company, American Retirement Life Insurance Company or Loyal American Life Insurance Company. Plan availability varies by state. It may not show how these medications are actually covered on the Cigna Performance 3-Tier Prescription Drug List. These highlights do not reflect the entire list of Cigna's January 2022 drug changes. Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (LINA) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (NYLGICNY) (New York, NY), formerly known as Cigna Life Insurance Company of New York. Have your Cigna ID card and drug list ready. 0000014197 00000 n
Learn more about the plan benefits designed to meet your unique needs: Plans are insured by Cigna Health and Life Insurance Company or its affiliates: For Arizona residents, health plans are offered by Cigna HealthCare of Arizona, Inc. For Georgia residents, health plans are offered by Cigna HealthCare of Georgia, Inc. For Illinois residents, health plans are offered by Cigna HealthCare of Illinois, Inc. For North Carolina residents, health plans are offered by Cigna HealthCare of North Carolina, Inc. For South Carolina residents, health plans are offered by Cigna HealthCare of South Carolina, Inc. For Texas residents, health plans are offered by Cigna HealthCare of Texas, Inc. 1 Refer to plan documents for a description of equipment, supplies, select tests and services that are covered through these plans. ** Drug list for the State of California for these products: Preferred Provider Organization, Exclusive Provider Organization, Open Access Plus, Open Access Plus In Network, LocalPlus, LocalPlus IN, Surefit. 0000010418 00000 n
Save time and avoid travel costs to visit a local pharmacy. Details. Cigna also offers separate Medicare Part D plans. Preferred Pharmacy Networks Dominate in 2021 Medicare Part D Plans: The Scoop on Cigna, CVS Health, Humana, WellCare, and More Last week, open enrollment began for the 2021 Medicare Part D plans. What is the Cigna Comprehensive Drug List? 0000024687 00000 n
In 2022, all the preferred products for allergic conjunctivitis are generics, including azelastine drops, bepotastine drops, cromolyn drops, epinastine drops, and olopatadine drops. * Drug list for the State of California for these products: Health Maintenance Organization, Point of Service, Network, Preferred Provider Organization, Exclusive Provider Organization, Open Access Plus, Open Access Plus In Network, LocalPlus, LocalPlus IN, Surefit. Cigna Collaborative Care Listing. 863 0 obj
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Having your prescriptions sent to your home is easy and may cost less than getting them from a retail pharmacy. | Page last updated All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation. 0000024103 00000 n
Choose a drug list from the drop down menu below to view medications that are commonly covered. endstream
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then select "Prescriptions" and "Switch to Home Delivery". Selecting these links will take you away from Cigna.com to another website, which may be a non-Cigna website. Medicare Advantage and Medicare Part D Policy Disclaimers. %%EOF
72((2. Once your order is confirmed, the average delivery time is 5-7 days. 3rd floor, Suburban Pavilion Building 2108 Monday - Friday: 8 am - 5 pm Saturday, Sunday and Holidays: Closed Phone: 717-544-3154 Fax: 717-544-3166. Medicare savings! n4rxk /s79Le|Y0_`xajz
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432 38
Cookies are not enabled, for best results please enable cookies. Focus on Concurrent Use of Benzodiazepines and Opioids [PDF], Network Insider Medicare Provider Newsletter, Provider Portal Claimstat Login Arizona Providers Only, 2023 Medicare Advantage Drug List Formulary Quick Reference Guide [PDF], 2022 Medicare Advantage Drug List Formulary Quick Reference Guide [PDF], Providers' Guide to Preventing Opioid Misuse [PDF], Making Opioid Use Safer for Older Adults: A Provider's Guide to Co-Prescribing Naloxone [PDF]. The drug list is updated often so it isn't a complete Use the Pharmacy (Drugs & Biologics) A-Z Index search box with a specific product name to locate additional coverage policies. The following Medicare Supplement Plans are available to persons eligible for Medicare due to disability: Plan A in Arkansas, Connecticut, Indiana, Maryland, Oklahoma, Texas, and Virginia; Plans A, F, and G in North Carolina; and Plans C and D in New Jersey for individuals aged 50-64. 0000016360 00000 n
Enrollment in Cigna depends on contract renewal. To request precertification, use the contact information below or visit the website for next steps. 0000005010 00000 n
(7) Preexisting Conditions: We will not pay for any expenses incurred for care or treatment of a Preexisting Condition for the first six (6) months from the effective date of coverage. %%EOF
References to standard benefit plan language and coverage determinations do not apply to those clients. 0000014929 00000 n
0000002901 00000 n
This figure is slightly higher than its 2021 position. Cigna may not control the content or links of non-Cigna websites.
Once you go to one, you are not required to continue going to the same pharmacy to fill your prescription. 0
Standard in the Saver Network. 0000023897 00000 n
Using these options in our pharmacy network for your prescription drug needs can help save time and money. 0000066225 00000 n
Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not make coverage determinations. 0000012307 00000 n
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We want you to pay the lowest price possible for your medications. After your effective date, just log in to your member website to check costs and coverage for a specific drug. Our company and agents are not connected with or endorsed by the U.S. Government or the federal Medicare program. Payer Solutions. Here are some of the events when we would cover prescriptions filled at an out-of-network pharmacy: In these situations, please check first with Customer Service to see if there is a network pharmacy nearby. 0000011016 00000 n
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Use the Prescription Drug List Search Tool to view medications commonly covered by employer-sponsored plans. Cigna is the fifth-largest company offering Medicare Part D plans. 0000017721 00000 n
This amount includes your Part C and D premiums but does not include your Part B premium. Part D drugs are dispensed by an out-of-network, institution-based pharmacy while in an emergency facility, provider-based clinic, outpatient surgery, or other outpatient setting. 0
During this year's Annual Election Period (AEP), which begins Oct. 15, Cigna will offer Medicare Advantage (MA) plans with enhanced features and benefits in 581 . 0000009095 00000 n
Details, 2023 Drug Lists for Individual and Family Plans. 0000005240 00000 n
All Cigna products and services are provided exclusively by or through operating subsidiaries of Cigna Corporation, including Cigna Health and Life Insurance Company (CHLIC), Connecticut General Life Insurance Company, Tel-Drug, Inc., Tel-Drug of Pennsylvania, L.L.C., and HMO or service company subsidiaries of Cigna Health Corporation. Cigna Legacy (Standard) Prescription Drug List 3 Tier [PDF] 4 Tier (injectable specialty medications covered on tier 4) [PDF] 4 Tier (all specialty medications covered on tier 4) [PDF] Cigna Legacy (Performance) Prescription Drug List 3 Tier [PDF] 4 Tier (all specialty medications covered on tier 4) [PDF] Cigna Total Savings Prescription Drug List Cigna offers specialized plans that can help you if you have diabetes, asthma, or chronic obstructive pulmonary disease (COPD), while offering you more savings. %PDF-1.5
%
The Cigna n ame, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. 52% of Medicare Advantage prescription drug (MA-PD) plans will have a preferred network. 0000006072 00000 n
1Preferred network pharmacy savings do not apply to all plans.2Deductible and/or coverage gap cost-sharing may apply based on your plan. 0000013735 00000 n
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***Preferred pharmacy in Extra Plan. trailer
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preferred medications covered on the Cigna National Preferred 3-Tier Prescription Drug List as of January 1, 2023.1,2 Medications are listed by the condition they treat. These six plans account for a further 181 regional PDPs. 0
0000035659 00000 n
All health insurance policies and health benefit plans contain exclusions and limitations. 0000017854 00000 n
Past 24 Hours Cigna requires prior authorization (PA) for some medications in order to optimize patient outcomes and ensure cost-effective healthcare for our customers. We make it easy to submit the correct PA request for your patients. 0000038240 00000 n
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The Low-Income Subsidy (also known as LIS or Extra Help) helps people with Medicare lower the cost of prescription drugs. 0000022931 00000 n
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,k;q^a1ETP/nr[I !gL
;$9LvyliD@d=j6/`YzaCw8$K!;Z9D~s&b-nrqs#SSH!3 The Cigna name, logos, and other Cigna marks are owned by Cigna Intellectual Property, Inc. Cigna contracts with Medicare to offer Medicare Advantage HMO and PPO plans and Part D Prescription Drug Plans (PDP) in select states, and with select State Medicaid programs. Individual and family medical and dental insurance plans are insured by Cigna Health and Life Insurance Company (CHLIC), Cigna HealthCare of Arizona, Inc., Cigna HealthCare of Illinois, Inc., Cigna HealthCare of Georgia, Inc., Cigna HealthCare of North Carolina, Inc., Cigna HealthCare of South Carolina, Inc., and Cigna HealthCare of Texas, Inc. Group health insurance and health benefit plans are insured or administered by CHLIC, Connecticut General Life Insurance Company (CGLIC), or their affiliates (see Our standard network is made up of drug and grocery stores so you have easy access at home or away from home, but you may pay more. 0000046193 00000 n
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For costs and details of coverage, review your plan documents or contact a Cigna representative. You must generally use network pharmacies to use your prescription drug benefit. 0000013862 00000 n
Please refer to the policy for the full terms and conditions of coverage. 0000016918 00000 n
This is useful for forms that you want to view and/or print. Your Cigna plan may include access to home delivery with Express Scripts, As part of your Cigna-administered pharmacy benefits, you'll have access to Accredo. You can go to any of our network pharmacies. For costs and complete details of coverage, contact the company. hb```b``b`c``bd@ AVvlLYFHly]o4a=X5 0000007235 00000 n
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In Kentucky, Plans A, F, G, HDG, N are available under Cigna National Health Insurance Company, Plans A, F, G, HDF, N are available under Cigna Health and Life Insurance Company and Plans A, B, C, D, F, G, N are available under Loyal American Life Insurance Company. Please check the plans formulary for specific drugs covered. <<2D633AE37554474AB8273AF4D332B8EF>]/Prev 525233/XRefStm 1756>>
The secret is picking the right Medicare Part D plan. Generic medications are listed in all lowercase letters and brand-name medications are listed in all capital letters. Plans from U.S. territories and possessions (American Samoa, Guam, Northern Mariana Islands, Puerto Rico, Virgin Islands), Employer/union-only group plans (contracts with "800 series" plan IDs). Home Delivery Medical Supplies and Services. Whether you're already on Medicare or you're about to turn 65, this comparison tool helps you select the best plan. hb```feah``l`~+psrEi"FNA&-([BZK0H20JB@,6Ipjh@~iqsS %R* }@@k SX6+\ +@ /
When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium. a listing of the legal entities This is a list of the most commonly prescribed preferred medications covered on the Cigna National Preferred 3-Tier Prescription Drug List as of July 1, 2021.1,2 Medications are listed alphabetically by the condition they treat. Our family of 4 needs to all find . For more than 125 years, Cigna has been committed to building a trusted network of health care providers so we can connect your patients with . Shared Administration Repricing (SAR) Choosing Wisely. 0000000016 00000 n
*Preferred Pharmacies in the Extra and Secure plan only. 2022 Aetna Standard Plans You can find a list of the most commonly covered drugs under your plan (your formulary) below. . Prices given through this tool are estimates and can differ from actual costs when a prescription is dispensed. CMS Part D . View our Vaccine Quick Reference Guide [PDF]. startxref
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Product availability may vary by location and plan type and is subject to change. 0000038721 00000 n
Many of these plans are state-level Blue Cross Blue Shield plans. 5250 34
network pharmacy or through our mail order pharmacy service. 0000021102 00000 n
Learn about the medical, dental, pharmacy, behavioral, and voluntary benefits your employer may offer. prescribed medications covered on the Cigna National Preferred Prescription Drug List as of January 1, 2023.1,2 Medications are listed by the condition they treat. Accidental Injury, Critical Illness, and Hospital Care plans or insurance policies are distributed exclusively by or through operating subsidiaries of Cigna Corporation, are administered by Cigna Health and Life Insurance Company, and are insured by either (i) Cigna Health and Life Insurance Company (Bloomfield, CT); (ii) Life Insurance Company of North America (LINA) (Philadelphia, PA); or (iii) New York Life Group Insurance Company of NY (NYLGICNY) (New York, NY), formerly known as Cigna Life Insurance Company of New York. 2023 Prescription Drug List Changes starting January 1, 2023 [PDF], 4 Tier (injectable specialty medications covered on tier 4) [PDF], 4 Tier (all specialty medications covered on tier 4) [PDF], PPACA No Cost-Share Preventive Drug List [PDF], PPACA No Cost-Share Preventive Drug List (for the Cigna Total Savings Drug List) [PDF], PPACA No Cost-Share Preventive Drug List (for the Cigna National Preferred Drug List) [PDF], Preventive Generics Drug List Standard (for the Cigna National Preferred Drug List) [PDF], Preventive Generics Drug List Standard Plus (for the Cigna National Preferred Drug List) [PDF], Preventive Generics and Preferred Brands Drug List (for the Cigna Standard and Performance Drug Lists) [PDF], Preventive Generics and Preferred Brands Drug List (for the Cigna Value and Advantage Drug Lists) [PDF], Preventive Generics and Preferred Brands Drug List (for the Cigna Legacy (Standard) and Legacy (Performance) Drug Lists) [PDF], All Preventives Drug List (for the Cigna Standard and Performance Drug Lists) [PDF], All Preventives Drug List (for the Cigna Legacy (Standard) and Legacy (Performance) Drug Lists) [PDF], All Preventives Drug List (for the Cigna Value and Advantage Drug Lists) [PDF], All Preventives Drug List Standard (for the Cigna National Preferred Drug List) [PDF], All Preventives Drug List Standard Plus (for the Cigna National Preferred Drug List) [PDF], Preventive Generics and Preferred Brands Drug List - Standard (for the Cigna National Preferred Drug List) [PDF], Preventive Generics and Preferred Brands Drug List - Standard Plus (for the Cigna National Preferred Drug List) [PDF], Preventive Diabetes Supplies (for the Standard, Value, Performance, and Advantage Drug Lists) [PDF], Preventive Diabetes Supplies (for the Legacy Standard and Legacy Performance Drug Lists) [PDF], California Standard 4 Tier* (injectable specialty medications covered on tier 4 (CDI) [PDF], California Standard 4 Tier* (injectable specialty medications covered on tier 4 (DMHC) [PDF], California Standard 4 Tier* (all specialty medications covered on tier 4) (CDI) [PDF], California Standard 4 Tier* (all specialty medications covered on tier 4) (DMHC) [PDF], California Value 4 Tier* (injectable specialty medications covered on tier 4 )(CDI) [PDF], California Value 4 Tier* (injectable specialty medications covered on tier 4) (DMHC) [PDF], California Value 4 Tier* (all specialty medications covered on tier 4) (CDI) [PDF], California Value 4 Tier* (all specialty medications covered on tier 4) (DMHC) [PDF], California Performance 4 Tier (all specialty medications covered on tier 4)** [PDF], California Advantage 4 Tier (all specialty medications covered on tier 4)** [PDF], California Legacy (Standard) 3 Tier* (CDI) [PDF], California Legacy (Standard) 3 Tier* (DMHC) [PDF], California Legacy (Standard) 4 Tier* (injectable specialty medications covered on tier 4) (CDI) [PDF], California Legacy (Standard) 4 Tier* (injectable specialty medications covered on tier 4) (DMHC) [PDF], California Legacy (Standard) 4 Tier* (all specialty medications covered on tier 4) (CDI) [PDF], California Legacy (Standard) 4 Tier* (all specialty medications covered on tier 4)(DMHC) [PDF], California Legacy (Performance) 3 Tier** [PDF], California Legacy (Performance) 4 Tier (all specialty medications covered on tier 4)** [PDF], California Total Savings 3 Tier* (CDI) (DMHC) [PDF], California National Preferred 3 Tier* (CDI) [PDF], California National Preferred 3 Tier* (DHMC) [PDF]. Product availability may vary by location and plan type and is subject to.! Certain Cigna Companies and/or lines of business only provide utilization review services to clients and do not coverage. Is operating in 17 regions n 0000035178 00000 n the following information can help Save time and avoid travel to. Costs included 0000025894 00000 n Access our Part D Updates for Cigna Medicare... Plan only our plans preferred pharmacy in Extra plan ( 882-4462 ) sharing networks the drop menu. 2022 drug changes D premiums but does not take responsibility for any medication decisions made by the Government. U [ sUtT0jv ; n the following is cigna preferred pharmacy list 2022 breakdown of your monthly premium with Part B included. Links of non-Cigna websites of 544 PDPs ( =16 * 34 ) to... Will pay pharmacy plan & # x27 ; s January 2022 plan only PDF... Specialty medication may be a non-Cigna website the secret is picking the right Medicare D! 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